Crittendon, Julie Ana

Crittendon, Julie Ana is an individual health care provider with primary practice located at 226 Creekstone Rdg , Woodstock GA 30188-3732. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Crittendon, Julie Ana can be contacted via phone (470) 228-2040.

Contact Information

Primary practice address
226 Creekstone Rdg Woodstock GA 30188-3732
Phone: (470) 228-2040
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 2928 Tennessee
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-11-9444
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY003968 Georgia

Profile Details

NPI number 1932419389
LBN Legal business name Crittendon, Julie Ana
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2010
Last updated Aug 29th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932419389 NPPES
Georgia MEDICAID 003177344A

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